Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 133V00000X | Dietitian, Registered | | | | No |
| 2 | 163W00000X | Registered Nurse | | | | No |
| 3 | 171400000X | Health and Wellness Coach | | | | No |
| 4 | 225700000X | Massage Therapist | | | | No |
| 5 | 253Z00000X | In Home Supportive Care | | | | No |
| 6 | 261QI0500X | Clinic/Center | Infusion Therapy | | | No |
| 7 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 8 | 261QM1300X | Clinic/Center | Multi-Specialty | | | No |
| 9 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 10 | 363LF0000X | Nurse Practitioner | Family | | | No |
| 11 | 364SH1100X | Clinical Nurse Specialist | Holistic | | | No |
| 12 | 251E00000X | Home Health | | | | Yes |